[Omentovesicopexy with transposition of the bladder into the abdominal cavity in the treatment of neurogenic bladder].
For the treatment of neurogenic dysfunctions of the urinary bladder resulting in residual urine and therefore the lack of adequate urination, the authors proposed the performance of omentovesicopexy due to which the damaged function could be partially compensated by intraperitoneal pressure. The greater omentum should be used for reinnervation and revascularization of the urinary bladder as it meets the requirements for the donor organ enabling the formation of competent indirect innervation due to its adequate mobility and size and the formation of the abdominal enclosure of the bladder when ascending to the abdominal cavity. Being a double layer of the peritoneum the greater omentum avoids transformation into the connective tissue thus contributing to "functional anastomosis" for a long time. The technique developed was successfully used in 12 surgeries for the patients with residual urine. The postoperative period was featured by the manifest equivalent of micturition urge, disappearance or a significant decrease in the amount of residual urine, restoration of spontaneous and controlled urination. The omentovesicopexy is a simple, efficient and available technique for usage by a wide range of urologists.
Mokhort
V A
VA
Makarov
V N
VN
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D009852:Omentum / Q000637:transplantation*; D011184:Postoperative Period; D013536:Suture Techniques; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*
Omentovezikopeksiia s peremeshcheniem mochevogo puzyria v briushnuiu polost' pri lechenii neĭrogennogo mochevogo puzyria.